Total Hip Arthroplasty with Cement in Patients Less Than Twenty Years Old. Long-Term Results*

Torchia, Michael E.; Klassen, Rudolph A.; Bianco, Anthony J.

doi:10.2106/00004623-199607000-00003

Cited by 148 publications

(57 citation statements)

References 51 publications

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“…The most common diseases of the younger hip include osteonecrosis, dysplasia, Legg-Perthes disease, and post-traumatic arthritis, all of which carry a worse prognosis [12]. Aside from having higher expectations, younger patients often require eventual revision; in an analysis of over 109 studies on patients under 50, only 37 had a mean survivorship greater than 10 years [9].…”

Section: Introductionmentioning

confidence: 99%

Metal-on-metal hip resurfacing in patients younger than 50 years: a retrospective analysis

Gaillard

Gross

2017

J Orthop Surg Res

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BackgroundThe Nordic registry reports patients under 50 years old with total hip replacements realize only 83% 10-year implant survivorship. These results do not meet the 95% 10-year survivorship guideline posed by the UK’s National Institute for Health and Care Excellence (NICE) in 2014.MethodsThe purpose of this study is threefold: First, we evaluate if metal-on-metal hip resurfacing arthroplasty meets these high standards in younger patients. Next, we compare outcomes between age groups to determine if younger patients are at higher risk for revision or complication. Lastly, we assess how outcomes between sexes changed over time. From January 2001 to August 2013, a single surgeon performed 1285 metal-on-metal hip resurfacings in patients younger than 50 years old. We compared these to an older cohort matched by sex and BMI.ResultsKaplan-Meier implant survivorship was 96.5% at 10 years and 96.3% at 12 years; this did not differ from implant survivorship for older patients. Implant survivorship at 12 years was 98 and 93% for younger men and women, respectively; survivorship for women improved from 93 to 97% by using exclusively Biomet implants. There were four (0.3%) adverse wear-related failures, with no instances of wear or problematic ion levels since 2009. Activity scores improved from 5.4 ± 2.3 preoperatively to 7.6 ± 1.9 postoperatively (p < 0.0001), with 43% of patients reporting a UCLA activity score of 9 or 10.ConclusionsHip resurfacing exceeds the stricter 2014 NICE survivorship criteria independently in men and women even when performed on patients under 50 years old.

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Section: Introductionmentioning

confidence: 99%

Metal-on-metal hip resurfacing in patients younger than 50 years: a retrospective analysis

Gaillard

Gross

2017

J Orthop Surg Res

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“…Although THA was initially designed for elderly low-demanding patients, the benefit of this procedure in younger populations has also been well documented; thus, long-term results have increasingly improved over the last decades [3], [4], [5]. However, the consequences of bearing surface wear, including osteolysis and aseptic loosening, have been a leading reason of late revision THA, especially in younger and more active patients.…”

Section: Introductionmentioning

confidence: 99%

Ceramic-on-ceramic bearings total hip arthroplasty in young patients

et al. 2016

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BackgroundThe results of ceramic-on-ceramic (CoC) total hip arthroplasty (THA) in younger patients were not univocal. This study aims to evaluate the results of CoC bearing THA in patients younger than 50 years.MethodsA total of 90 younger patients performed CoC THAs during March 2003 and May 2008 were included in this study. Hip function and activity were evaluated with Harris hip score and University of California Los Angeles activity score. We had discussed survival rates, radiological findings of component loosening or osteolysis, and ceramic-related complications in these patients.ResultsThe mean Harris hip score increased from 46.3 ± 12.0 points (range, 28-70 points) before surgery to 92.5 ± 5.6 points (range, 78-100 points) at the final follow-up. The mean preoperative University of California Los Angeles activity score was 4.2 ± 1.1 points (range, 2-6 points), which improved to a mean of 7.2 ± 1.3 points (range, 4-10 points). At the time of the last follow-up, there was found to be 1 occurrence of hip dislocation, 1 squeaking, and 2 “sandwich” ceramic liners fractured during normal activity of daily living. No hips showed osteolysis or required revision for aseptic loosening. Kaplan-Meier survivorship with revision due to loosening or osteolysis was 100% and with revision due to ceramic fracture was 97.3% (95% confidence interval, 93.7%-100%) at a mean of 9.4 years.ConclusionsThis study with the use of CoC bearings THAs in younger patients have shown promising results and higher rate of survivorship without evidence of osteolysis.

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“…Surgical methods are still controversial; amputations of muscle and tendon, capsulotomy, and capsulectomy were conducted and have yielded various results4). For patients under 20 years old, a total hip arthroplasty may be effective in controlling pain but it has been reported that it also might cause durability problems, and thus should be a careful weighed option10). In this study, the patient was relatively old for the other surgical treatment options, we chose the total hip arthroplasty as a primary treatment option.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Idiopathic Chondrolysis of the Hip in an Adult: A Case Report and Review of the Literature

2016

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Idiopathic chondrolysis of the hip usually develops in adolescents and is a disease characterized by gradual degenerative changes of the hyaline cartilage surrounding the head of the femur. It eventually decreases the hip joint space and causes limitations in the hip joint range of motion due to pain. The authors had experienced an unusual case of bilateral idiopathic chondrolysis of the hip in an 54 year-old male; thus, we report the treatment results and literature reviews in this case report.

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Total Hip Arthroplasty with Cement in Patients Less Than Twenty Years Old. Long-Term Results*

Cited by 148 publications

References 51 publications

Metal-on-metal hip resurfacing in patients younger than 50 years: a retrospective analysis

Metal-on-metal hip resurfacing in patients younger than 50 years: a retrospective analysis

Ceramic-on-ceramic bearings total hip arthroplasty in young patients

Bilateral Idiopathic Chondrolysis of the Hip in an Adult: A Case Report and Review of the Literature

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